Form ID

Publication date

Location of premises

Certificate

Contract #2010-3301 The work done includes removal asphalt pavement partial depth 50mm, pave 50mm

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in right of Ontario as represented by the Minister of Transportation
Address of Owner
Ministry of Transportation, 659 Exeter Rd., London, ON N6E 1
Name of Contractor
Dufferin Construction Company
Address of Contractor
690 Dorval Drive, Suite 200, Oakville, ON L6K 3W7

Office to which claim for lien must be given to preserve lien

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Avenue, Downsview, Ontario M3M 1JB